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Biventricular Pacing in Women for Heart Failure

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Percutaneous Treatment of Cardiovascular Diseases in Women

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Abstract

Cardiac resynchronization therapy is recommended in selected patients with heart failure since it has been shown to reduce mortality, symptoms, and hospitalizations. We are committed to building awareness of issues related to women’s health and gender heart failure biology regarding the specific topic of biventricular pacing. This chapter analyzes the reasons for the women bias both in medical treatment and management, in spite of their better outcome.

We described also the indication for CRT in women and the standard implantation techniques, considering the specific anatomical features and the troubleshooting in case of difficult implantation in women. The final part is dedicated to the new techniques and future advancements.

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Abbreviations

AIV:

Anterior interventricular vein

CHF:

Chronic heart failure

CRT:

Cardiac resynchronization therapy

CS:

Coronary sinus

CT:

Computed tomography

HF:

Heart failure

ICD:

Implantable cardioverter–defibrillator

LAO:

Left anterior oblique

LBBB:

Left bundle branch block

LV:

Left ventricle

LVESVi:

Left ventricle systolic volume indexed

MCV:

Middle cardiac vein

RA:

Right atrium

RAO:

Right anterior oblique

RV:

Right ventricle

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Authors and Affiliations

  1. Second Cardiology Department, University Hospital of Pisa, 56100, Pisa, Italy

    Maria Grazia Bongiorni MD & Francesca Menichetti MD

Authors
  1. Maria Grazia Bongiorni MD
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  2. Francesca Menichetti MD
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Corresponding author

Correspondence to Maria Grazia Bongiorni MD .

Editor information

Editors and Affiliations

  1. Interventional Cardiology, Humanitas Research Hospital, Rozzano , Milano, Italy

    Patrizia Presbitero

  2. Interventional Cardiology, Klinik der Universität München Interventional Cardiology, München, Bayern, Germany

    Julinda Mehilli

  3. Hemodynamic Laboratory, Azienda Ospedaliero Universitaria Pisana, Pisa, Italy

    Anna Sonia Petronio

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Bongiorni, M.G., Menichetti, F. (2017). Biventricular Pacing in Women for Heart Failure. In: Presbitero, P., Mehilli, J., Petronio, A. (eds) Percutaneous Treatment of Cardiovascular Diseases in Women. Springer, Cham. https://doi.org/10.1007/978-3-319-39611-8_15

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  • DOI: https://doi.org/10.1007/978-3-319-39611-8_15

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-39609-5

  • Online ISBN: 978-3-319-39611-8

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